Detection and drug resistance of βlactamaseproducing Staphylococcus from clinical specimens
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R378.1+1

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    Abstract:

    ObjectiveTo realize the detection and drug resistance of βlactamaseproducing Staphylococcus isolated from clinical specimens in a hospital, so as to provide reference for preventing and treating Staphylococcus infection.MethodsClinical and laboratory data of 1 725 βlactamaseproducing Staphylococcus isolated from clinical sepcimens between 2005 and 2010 were analyzed retrospectively.ResultsThe total detection rate of βlactamaseproducing Staphylococcus was 94.83% (1 725/1 819). The detection rate of each year was 88.68%(94/106), 89.69%(174/194), 91.72%(155/169),97.58%(242/248),96.10%(591/615) and 96.30%(469/487) respectively,there was an increased tendency(χ2=51.11, P<0.01; The detection rate of βlactamase was the highest in Staphylococcus sciuri(99.50%,198/199) and the lowest in Staphylococcus auricularis (80.37%,86/107)(χ2=58.08,P<0.01). Antimicrobial susceptibility testing results showed that βlactamaseproducing Staphylococcus isolates were sensitive to vancomycin, linezolid, furantoin and rifampicin, but were highly and multiply resistant to penicillin, ampicillin, ampicillin/sulbactam, oxacillin, cefazolin, ciprofloxacin, tetracycline, clindamycin, erythromycin, gentamicin and sulfamethoxazole/trimethoprim, the resistant rate was between 51.74% and 100.00%, and resistant rate of βlactamaseproducing Staphylococcus was higher than nonβlactamaseproducing Staphylococcus (χ2=7.00-485.39. P<0.01). 72.86% of βlactamaseproducing Staphylococcus aureus and 78.30% of βlactamaseproducing coagulase negative Staphylococcus were oxacillinresistant strains.ConclusionThe high detection rate and high drug resistant rate of βlactamaseproducing Staphylococcus is serious, it is necessary to intensify the monitor and stop quick increase of βlactamase producing Staphylococcus.

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孔繁林,储从家,管新龙,等.产β内酰胺酶葡萄球菌在临床标本中的检出及耐药性[J].中国感染控制杂志英文版,2012,11(5):366-369.
KONG Fanlin, CHU Congjia, GUAN Xinlong, et al. Detection and drug resistance of βlactamaseproducing Staphylococcus from clinical specimens[J]. Chin J Infect Control, 2012,11(5):366-369.

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History
  • Received:March 01,2012
  • Revised:May 26,2012
  • Adopted:
  • Online: September 30,2012
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